These are breasts with severe insufficient glandular tissue.  She was taking 
fenugreek all ready, but not really pumping except occasionally with a Avent 
manual pump.  She was breastfeeding and gave some abm a few times.  The 
pediatrician told her to give apple juice because he wasn't pooping!  Baby 
was in really bad shape when I saw him.  Living on only about 3/4 an oz per 
feeding and occasional sips of apple juice.  He was still very jaundice at 3 
weeks of age and less than birth weight.  She is now supplementing with abm 
by feeding tube and sometimes by bottle using Diane's Wiessinger's handout. 
Once she started pumping with a electric double pump her milk hasn't really 
increased, however nipple and areola has increased in size.  She is now 
taking the goat's rue for the last week with only an increase from 3/4 oz 
per pumping to *sometimes* 1oz per pumping.  She is looking into getting 
Domperidone now.
She is nursing 8 or more times and day along with pumping.
Is there anything else she can do?
Zena K. Gresham, CLC
Las Vegas, NV
NV WIC Lactation Specialist
[log in to unmask]
> Not necessarily.
> Zena
>>
>> Zena, Are you referring to the large bulbular type of nipples?
>> Cheryl
>>
>> 9I have been having a lot of moms with what appears to be insufficant
>> glandular tissue this last year.  I have noticed something with some of
>> these moms that I wanted to see if others have noticed the same thing.
>>
>> These women's nipples dramatically change with just pumping.    They will
>> sometimes mention to me that pumping* is making their nipples too big for
>> the baby to latch.  They think it's the suction of the pump.  I have
>> another
>> theory.  I think it's the stimulation helping to develop the tissue that
>> didn't develop during pregnancy.  Have others noticed the same?  What do
>> you
>> think?
>>
>> Zena K. Gresham, CLC, Las Vegas, NV,NV WIC Lactation Specialist
>> ZenaKay@cox
>> net
>>
>>
>>
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